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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALIREZA KHOSHNOODI

Active Sole Proprietor

ALIREZA KHOSHNOODI is a Endodontics healthcare provider located in CANOGA PARK, California. NPI 1891313524 is currently active in the NPPES registry. Verify at CMS.

Endodontics · CANOGA PARK, CA

Registration Details

NPI Number
1891313524
Provider Type
Individual
Gender
Male
NPI Issued
Jul 9, 2020 (6.0883803783385 yrs)
Last Updated
Aug 29, 2023
Licenses
DN1858746 (MA)
108650 (CA)
Sole Proprietor
Yes

Practice Information

Address
21050 VANOWEN ST APT 301
CANOGA PARK, CA, 913033085
Browse CA providers · Browse ZIP 91303
Phone
7025282864
Fax
7025282864
Primary Specialty
Endodontics
1223E0200X
Additional Specialty
Endodontics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.